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目的探讨MRI对软组织淋巴瘤的诊断价值。方法回顾性分析11例经组织病理证实软组织非霍奇金淋巴瘤患者的MRI影像资料。结果与组织病理结果进行对照,MRI术前诊断软组织非霍奇金淋巴瘤9例,误诊为软组织肉瘤2例,诊断准确率81.82%。MRI表现为T1WI呈等信号9例、低信号2例,T2WI呈稍高信号5例、高信号4例、等信号2例,短时间反转恢复序列均呈明显高信号。平扫病灶信号均匀10例、不均匀1例,增强后轻到中度强化,其中呈均匀强化9例、不均匀强化2例。结论 MRI有助于软组织淋巴瘤诊断。
Objective To investigate the diagnostic value of MRI for soft tissue lymphoma. Methods MRI data of 11 cases of non-Hodgkin’s lymphoma confirmed by histopathology were analyzed retrospectively. The results were compared with histopathological findings. Nine cases of soft tissue non-Hodgkin’s lymphoma were diagnosed before MRI, and 2 cases were misdiagnosed as soft tissue sarcomas. The diagnostic accuracy was 81.82%. MRI showed T1WI showed equal signal in 9 cases, low signal in 2 cases, T2WI was slightly higher signal in 5 cases, high signal in 4 cases, equal signal in 2 cases, short-term reversal recovery sequence were significantly higher signal. There were 10 cases of uniform lesions and 1 case of uneven lesions, with mild to moderate enhancement after enhancement. There were 9 cases with uniform enhancement and 2 cases with non-uniform enhancement. Conclusion MRI is helpful for the diagnosis of soft tissue lymphoma.